Frequently Asked
Questions

Below is a list of some of the most FAQs we receive. If the question you have is not answered here, please get in touch by clicking on Contact.

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Your smile is worth everything

We are a team of passionate, friendly and professional people who work together to ensure that you receive the best treatment that you require at a very time that suits you.

Tootache:

What should I do about my toothache?

Most people occasionally have mild toothaches, particularly when consuming hot or cold drinks or food. This is the type of toothache pain that may not necessarily be a cause for worry. Sometimes, a toothache may be caused by a problem not originating from a tooth or the jaw. A bad toothache — the kind that wakes you up in the middle of the night, throbs all day, or lasts for more than a couple of days — could mean that a more serious problem exists. The worst thing to do is sit around wishing a toothache away. The best thing to do is visit the dentist for help.

What triggers a toothache?

The most common cause of a toothache is a dental cavity as a result of tooth decay. Dental cavities and toothache can be prevented by proper oral hygiene. Another common cause of toothache is gum disease.

Pain around the teeth and the jaws can be symptoms of ear infection or sinus infection or shingles and other diseases.

How to ease discomfort?

Gargle salt water. Salt water helps to remove bacteria from the mouth and can reduce swelling. …

Take a painkiller. Over-the-counter pain relief medication can ease the pain if it’s distracting or you’re finding it difficult to sleep. …

Apply ice.

And contact with your dentist

Can a toothache go away on its own?

A hydrogen peroxide rinse may also help to relieve pain and inflammation. In addition to killing bacteria, hydrogen peroxide can reduce plaque and heal bleeding gums.

Applying a cold compress to the area ofdental pain causes the blood vessels in the area to constrict, slows nerve conduction and makes pain less severe.

What can I drink with a toothache?

The best beverage choices include water (especially fluoridated water), milk, and unsweetened tea. Limit your consumption of sugar-containing drinks, including soft drinks, lemonade, and coffee or tea with added

Will antibiotics stop tooth pain?

Your dentist will want to choose an antibiotic that can effectively eliminate your infection. Antibiotics of the penicillin class, such as penicillin and amoxicillin, are most commonly used to help treat tooth infections.

Anantibiotic called metronidazole may be given for some types of bacterial infections.

What should you not do when you have a toothache?

DON’T Consume Acidic Foods and Beverages

When you have a toothache, you should avoid foods that are naturally acidic, as these may aggravate yourtooth pain. For example, avoid tomatoes and oranges. Sports drinks and fizzy sodas may also worsen yourtoothache pain

What happens if tooth infection spreads to jaw?

If the abscess ruptures, the pain may decrease significantly — but you still need dental treatment. If theabscess doesn’t drain, the infection may spread to your jaw and to other areas of your head and neck.

You might even develop sepsis — a life-threatening infection that spreads throughout your body.

When should I go to the ER for tooth pain?

As a general rule, you should go to the emergency room if you are experiencing unbearable pain or bleeding that cannot be stopped and your dentist’s office is closed.

If you are not in excruciating pain, you are advised to call your dentist and explain the situation

What can you do for a swollen jaw from a toothache?

If your face is swollen, put an ice pack on your cheek. It may help ease the pain, especially if you’ve chipped your chopper or knocked it loose.

Swelling could also mean you have an abscess, a sac of pus and gunk deep in the roots of your tooth. This can cause serious infection in your jaw and other teeth.

Can a dentist pull a tooth that is infected?

If the affected tooth can’t be saved, your dentist will pull (extract) the tooth and drain the abscess to get rid of the infection. Prescribe antibiotics.

But if the infection has spread to nearby teeth, your jaw or other areas, your dentist will likely prescribe antibiotics to stop it from spreading further.

Isn’t it normal to have a toothache now and then?

Most people occasionally have mild toothaches, particularly when consuming hot or cold drinks or food. This is the type of toothache pain that may not necessarily be a cause for worry. Sometimes, a toothache may be caused by a problem not originating from a tooth or the jaw. Pain around the teeth and the jaws can be symptoms of ear infection or sinuses.

But a bad toothache — the kind that wakes you up in the middle of the night, throbs all day, or lasts for more than a couple of days — could mean that a more serious problem exists. The worst thing to do is sit around wishing a toothache away. The best thing to do is visit the dentist for help.

I had a toothache, but it went away. Should I still see a dentist?

It’s never a good idea to gamble with your dental health. So even if you think a toothache was mild, only a dentist can make a proper diagnosis. Pick up the phone and call your dentist – it only takes a few minutes.

He or she will likely ask you a series of questions:

Was the toothache pain gnawing or throbbing? Did the toothache last a whole day or just for a moment? Can you see holes in the tooth that’s causing pain? Do you have swollen gums or neck glands? Depending on the answers, your dentist may ask you to come in for an exam.

Implants:

What is a dental implant?

A dental implant is a titanium post(fixture) that is surgically positioned into the jawbone, beneath the gum line as a sturdy base for supporting a tooth, bridge or acting as an orthodontic anchor for a denture.

This biological process is called osseointegration. Titanium form an intimate bond to bone.
3 to 6 months recovery time is required for osseointegration before an abutment is attached to the implant.

What is an abutment?

Abutment is artificial devices that are connected to the dental implants after the healing period is over. The abutment is used to attach a crown, bridge, or removable denture to the implant fixtures.

Abutments can be made from different materials, titanium, stainless steel, gold, polyether ether ketone or zirconia.

What is a crown?

A dental crown is an artificial tooth which is designed from various materials. Crown is placed on the abutment to give a tooth function to the implant.

Once the crown is screwed, implant treatment is complete. The implant begins to display dental function.

Am I a good candidate for implant treatment?

If you are in good general health this treatment may be an option for you. In fact, your health is more of a factor than your age. Patients should be medically evaluated before any implant surgery is scheduled.

Patients either must have enough bone density to support an implant or be good candidates for surgery to build up the bone where the implant will be placed.

Chronic illnesses, such as diabetes or leukemia, may interfere with healing after surgery. Patients with these issues may not be good candidates for implants. Using tobacco can also slow healing.

Are the expensive Implant brands better than the cheap ones?

Expensive vs. Affordable. Replacing a missing tooth with a cheap implant can be an awful and expensive mistake that is likely to end in regret.
When it comes to oral hygiene, you can’t afford to go cheap. Insufficient implants can lead to more problems down the line, often requiring additional fixings and in some cases, complete renewals. While there are hundreds of dental implant brands in the market, the difference lies in the external surface and structure of the implant. By considering the success rate of the implant brands, an above average (A quality) and well known brand implant should be selected that can give the targeted treatment results. When you arrive the Dentalucca office, your specialist implantologist will give you some alternatives for the price and outcome.

Do I need to replace implants with all missing teeth?

In case of more than one missing tooth next to each other, your dentist can prevent you from paying high costs for implant treatment by following a treatment plan that includes implant and dental bridges.

How painful is a dental implant treatment?

implant treatment is done under strong local anesthesia. The patient does not feel any pain during implant surgery. After a few days of treatment, mild pain and swelling may occur.

However, it is not bad enough to affect your quality of life.

Can I get all my teeth replaced with implants?

If you lost all of your teeth, an implant-supported full bridge or full denture can replace them. Dental implants will replace both your lost natural teeth and some of the roots.

In addition, because implant-supported full bridges and dentures will replace some of your tooth roots, your bone is better preserved.

Is there any risk to failure implant treatment?

Despite the low failure rate of dental implants, recognition of the risk factors can enhance the predictability of failure. The main criterion for successful dental implant care is that the patient has no pain and the dental implants are not loose in an up/down direction.

There is a lot of factors effecting the success of treatment like age, gender, implant type, implant surface, implant length, bone type, type of surgery (one- or two-stage) and immediate (fresh socket) or delayed placement of implant.

The resarches shows that prophylactic antibiotic therapy, implant surface and bone density may contribute to dental implant failure. Success of dental implants depends on the site of implant placement, the patient’s conditions, surgeon’s experience, the precision of surgical technique, and type of implants. As Dentalucca, we prefer Osstem brand implants for standard implant treatments in our clinic. The survival rate of Osstem implants is 95.37%.

Do I have to wait 3 to 6 months toothless after implant placement?

After the procedure called delayed implant placement, you may require 3-6 months to heal, and then the area will be ready for the implant. During healing, the titanium surface of the implant fuses with the surrounding bone, in a process known as osseointegration, which can take about 3-6 months. After this time, the implant is stable enough to support one or more false teeth.

If your situation cannot be done in an “immediate” fashion there are always techniques for having a temporary tooth or teeth.

For many patients having implants for the back molars are not advised to use temporary teeth. If the tooth is further forward or it is a long span of missing teeth, a “flipper” can be made. This is basically like an orthodontic retainer with a tooth or teeth on it. It is removable and is made of a plastic type of material. We can make these look very good, but I advise that you remove it at night and do not chew hard foods with it since it can break.

What is the important point for the implant treatment?

1. Patient selection
Chronic diseases, diabetes cholesterol, drugs used continuously, bone density, congenital bone structure, age, etc.
2. Good surgical technique
Decisions about surgical operations as a result of the practical experience of implant surgery.
3. Good prosthetic technique
Manufacturing and placement of the prosthesis at the end of the healing process.
4. Good maintenance.
Following the treatment, following the instructions by the patient and paying attention to oral hygiene.

What is the life-time(duration) of an implant?

It varies according to brands. As Dentalucca, we use implant brands that provide a lifetime warranty for the treatments performed in our clinic.

How many visits required?

Both traditional surgical implant treatment and immediate loading implant treatment(on the same day implants) require 2 separate visits.

Which problems may occur during implant treatment?

However, as with any procedure, dental implant treatment comes with some potentialchallenges and risks. Some of the more common problems include infection, injury to other teeth or blood vessels, sinus problems, and nerve damage. Dentalucca’s specialist dentist will be able to determine any potential issues with x-rays and a thorough examination of your teeth, before the procedure to avoid these problems.

My dentist told me that I need bone graft/sinus lift/open sinus lift.

Bone graft
Patients who lose some or all of their natural teeth may experience bone loss, or resorption, when the jaw bone in the area of the missing tooth shrinks back and dissolves.

A bone graft may be required to restore the bone in the affected are until it is of sufficient density to support dental implants.

Sinus Lift
There are several reasons why a patient may not have sufficient bone height in the upper jaw to support dental implants:
• Tooth loss
• Gum Disease
• The maxillary sinus may be too close to the upper jaw
A sinus lift surgery is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed.

The procedure is one in which the sinus lining is lifted to make room for the growth of new bone (following a bone graft) so that the implants can then be placed.

I have osteoclasis/bone loss, can I have implants?

In dental implant treatment, bone loss by itself is not evaluated one of the risk factors for success. In general, present capacity of bone and soft tissue make it possible to establish osseointegration in the long run.

The specific nature of the disease process, such as osteoporosis or diabetes, and local bone quality and quantity at the implant site, mostly related to aging, are more important for successful dental implant treatment.

There are many alternative treatments available today to repair bone-related problems and complete your dental treatment. Dentalucca’s specialist dentists will lead you to learn which of these methods are most appropriate for you and the treatment details.

The real success of the implant lies in the skill and expertise of specialist placing the dental implant in the jaw bone.

Veneers & Crowns:

Which is Right for Me - A Crown or a Veneer?

Whether you need a crown or a veneer depends largely on which tooth is in question and how much damage it has.

If your tooth needs support and protection that only a crown can provide, it may not be worth a veneer.

On the other hand, in a situation where you have a front tooth that requires a conservetive and needs a little sprucing up, a crown may be too much.

Don’t just make a cost-based quick decision. A crown may be cheaper with your insurance coverage.

If you have a tooth that does not need much work, you can see that you will gradually extend its life with a conservative coating.

When we are talking about aesthetic benefits, you should consider that crowns has a longer durability than the veneer.

Obviously, this decision is not as simple as choosing what you want. You will need a professional assessment to make the right decision.

Veneers vs Crowns (Veneers)

1. Veneer covers the front surface of the tooth.
2. Veneers are used when you need cosmetic improvement. Like covering crooked or chipped teeth, especially front teeth, correction of discoloration.
3. Preparation : Veneers are thin pieces of porcelain that replace a shallow layer of enamel on the front of your teeth. A tooth is trimmed in preparation and a mold is taken for designing the veneer.
4. Veneers’ duration 2 to 5 years.

Veneers vs Crowns (Crowns)

1. Crowns encase the entire tooth.
2. Crowns are used when tooth has a lot of decay or fracture or is broken or which the root canal treatment is applied . They also anchor dental bridges and top off dental implants.
3. Preparation: Preparing the teeth for crowns typically involves removing substantial quantities of enamel and dentine. The aim of the preparation, in addition to creating space to accommodate the intended crown, is to prepare a shape appropriate to retain and support the crown.
4. Crowns’ durations 5 to 15 years.

Root Canal Treatment:

What Is Root Canal?

A tooth is consists of enamel, dentin and a soft tissue called pulp. Pulp contains blood vessels, nerves, connective tissues which help grow the root of your toothduring it’s evolution. A fully developed tooth can survive without the pulp.

Why Do I Need Root Canal Treatment?

Root Canal Treatment becomes a necessity when the pulp is inflamed or infected. The reason of the infection or inflammation

  • Deep decay
  • Repeated dental procedures on the tooth
  • Faulty crown
  • Crack or chip in the tooth
  • Traumatic injuries
  • Large fillings
What Happens If I Don't Have my Root Canal Treatment?

Modern dentistry aims to prevent the the looses of natural teeth. Endodontic treatments take big role in saving the natural tooth. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess which could be the reason of countless health problems; permanent shape disorders on face, cyst in the jaw bone, infection in the heart tissues, bone loss, fisture (inflammatory flux from the face or cheek) etc.

What are the benefits of root canal treatment?

There are many clinical reasons for needing root canal treatment but there are also countless practical reasons why saving the natural tooth is a wise choice. Endodontic treatments help you to maintain your natural smile, continue keeping your chewing comfort, and limits the need of dental works. With a proper care most teeth which had a root canal treatment can lasts a lifetime.

Who is An Endodontist?

An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the human dental pulp or the nerve of the tooth. The choice of which type of dentist to use depends to some degree on the difficulty of the root canal procedure needed in your particular tooth and the general dentist’s comfort level in working on your tooth. Your dentist will discuss who might be best suited to perform the work in your particular case.

What Is Root Canal Treatment?

Root Canal Treatment’s purpose is to save the natural tooth by removing the inflamed or infected pulp and prevent reinfection of the tooth.
During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form.

“Root canal” is the term used to describe the natural cavity within the center of the tooth. The pulp or pulp chamber is the soft area within the root canal. The tooth’s nerve lies within the root canal.

A tooth’s nerve is not vitally important to a tooth’s health and function after the tooth has emerged through the gums. Its only function is sensory — to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

Why Does Tooth Pulp Need to Be Removed?

When a tooth’s nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. An abscess occurs when the infection spreads all the way past the ends of the roots of the tooth. In addition to an abscess, an infection in the root canal of a tooth can cause

  • Embed Asset Override
  • Swelling that may spread to other areas of the face, neck, or head
  • Bone loss around the tip of the root
  • Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin.
What Damages a Tooth's Nerve and Pulp in the First Place?

A tooth’s nerve and pulp can become irritated, inflamed, and infected due to deep decay, repeated dental procedures on a tooth, and/or large fillings, a crack or chip in the tooth, or trauma to the face.

What Happens During a Root Canal?

A root canal requires one or more office visits and can be performed by a dentist or endodontist.

The first step in the procedure is to take an X-ray to see the shape of the root canals and determine if there are any signs of infection in a surrounding bone. Your dentist or endodontist will then use local anesthesia to numb the area near the tooth. Anesthesia may not be necessary, since the nerve is dead, but most dentists still anesthetize the area to make the patient more relaxed and at ease.

It is important to keep the area dry and free of saliva during treatment. An access hole will be drilled into the tooth. The pulp along with bacteria, the decayed nerve tissue and related debris is removed from the tooth. The cleaning out process is accomplished using root canal files. A series of these files of increasing diameter are each subsequently placed into the access hole and worked down the full length of the tooth to scrape and scrub the sides of the root canals. Water or sodium hypochlorite is used periodically to flush away the debris.

Once the tooth is thoroughly cleaned, it is sealed. Some dentists like to wait a week before sealing the tooth. For instance, if there is an infection, your dentist may put a medication inside the tooth to clear it up. Others may choose to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed in the exterior hole in the tooth to keep out contaminants like saliva and food between appointments.

At the next appointment, to fill the interior of the tooth, a sealer paste and a rubber compound called gutta percha is placed into the tooth’s root canal. To fill the exterior access hole created at the beginning of treatment, a filling is placed.

The final step may involve further restoration of the tooth. Because a tooth that needs a root canal often is one that has a large filling or extensive decay or other weakness, a crown, crown and post, or other restoration often needs to be placed on the tooth to protect it, prevent it from breaking, and restore it to full function. Your dentist will discuss the need for any additional dental work with you.

Is Canal Treatment a Painful Procedure?

Canal therapy is a painless procedure performed under local anesthesia, contrary to what is known among the general public. After the procedure, there may be mild or moderate pain depending on the case, especially when the tooth is touched or during chewing. This pain subsides within 2-10 days and disappears. If the doctor deems it necessary, he / she can prescribe painkillers to the patient.

How long is the lifetime of a tooth after root canal treatment?

A canal treatment performed in accordance with the rules to serve the patient for many years. However, after the canal treatment, necessary care should be taken for mouth and tooth cleaning and necessary measures must be taken. If you always make routine dentist visits and take the necessary care to your teeth according to your doctor’s recommendations, you will contribute to the longevity of your teeth.

Patients should pay attention to their teeth after root canal treatment and should not consume very hard foods. Although these warnings are valid for all teeth, more attention should be paid to canal treated teeth. Canal-treated teeth are those that have been largely damaged by caries. In addition, because the pulp tissue responsible for the nutritional function of the teeth is completely cleaned during the canal treatment, the teeth with canal treatment become more fragile than healthy teeth. In order to prevent fractures in canal-treated teeth, crown replacement on the relevant tooth will contribute to the longer service life of the treated tooth.

Gum Disease And Periodontitis:

What Is Gum Disease?
Gum disease is the inflammation of the gums.
Gum disease is caused by the build-up of bacterial plaque in the mouth, which leads to an inflammation of the gum line, known as gingivitis. If it is not treated, the inflammation can spread to the bones and other structures that support the teeth and afterwards which leads to the more serious disease of periodontitis. “Pockets” may form in the gums, where harmful bacteria can accumulate and cause more inflammation, leading to bone loss. As a result, teeth become loose, lose the function and may eventually fall out or need to be extracted and replace with the implants. In the case of implants, bacterial plaque leads to an inflammation of the gum around the implant (peri-implant mucositis) which, if left untreated, can quickly lead to the more serious condition of peri-implantitis, which involves bone loss and can eventually mean the loss of the implant.
What Is Gingivits?
Gingivits is the inflammation of the gum line.
The reason of the inflammation on the gum line, a condition known as gingivitis is bacterial plaque. The gums (the gingiva) react to the presence of dental plaque by becoming inflamed and this can happen after a few days spent without dental care. This inflammation which usually involving reddened or swollen gums, is the body’s response to the bacteria that have been allowed to accumulate on the teeth. Gingivitis is a common inflammation. If optimal oral hygiene at home is practiced and if the bacterial plaque is removed regularly, gums can recover within a few days. However, if gingivitis is not cared, the symptoms can worser and lead to the more serious gum disease of Periodontitis. Because of hormonal changes during pregnancy, there is an increased tendency for gingivitis. Pregnant women should pay special attention to good oral hygiene and see a dentist at an early stage during their pregnancy.
What Is Perionontitis?

Periodontitis is a gum disease that causes the destruction of the tooth-supporting apparatus and can lead to tooth loss. It is a chronic inflammatory disease that is triggered by bacterial microorganisms and involves a severe chronic inflammation . Also it can lead to other serious health problems.

Periodontitis always begins with gingivitis. This inflammation (usually involving reddened or swollen gums and bleeding when brushing teeth or biting on food) is the body’s response to bacteria that have been allowed to accumulate on the teeth. Then this inflammation can spread to below the gums and along the roots of the teeth. This can permanent damage to the tissues and around the teeth and to the supporting bone. Teeth start to loosen and can eventually may lost. Periodontisis can then lead to problems with chewing food and with speaking, as well as
causing aesthetic damage to your smile. This can be a gradual process that takes place over many years. However, some adults in early ages have a very active form of the disease, which causes early loosening and loss of the teeth. Around 40% of people suffer from periodontitis. It is estimated that around 70% of tooth loss is caused by periodontitis.

The good news is that – if detected and treated in early stages – the process can be halted
and gum health can be restored.

What Are The Symptoms Of Periodontitis?

Periodontitis always begins with inflammation of the gums, known as gingivitis. One of the earliest signs is that your gums bleed when you brush your teeth. The gums may look red and swollen and you might notice a discoloured layer of bacterial plaque on the teeth. If not removed through proper cleaning of the teeth, this plaque will become “mineralised”, turning into hard deposits known as calculus or tartar, which cannot be removed by a toothbrush. Left untreated, gingivitis may turn into periodontitis, a more serious form of gum disease. Often this happens without any obvious signs to alert you, but you might notice changes such as:

  • Increased bleeding of the gums which may be caused by tooth-brushing or eating,
    or may even be spontaneous.
  • Bad breath.
  • Changes in the positioning of the teeth in the jaws.
  • Teeth seem longer than before (receding gums).
  • Pain.

Because of the effect of nicotine on blood vessels in smokers, gum bleeding may be less . This means that the progress of the disease may be hidden. People do often not notice the presence of periodontitis until their 40’s or 50’s, by which time a great deal of damage may have occurred. However, a dentist can detect signs of the disease much earlier, during a routine dental examination, and can monitor your periodontal status by using a tool called the Periodontal Screening Index. You should ask your dentist for a periodontal examination as part of your regular dental check-ups.

What Is The Differences Between Gum And Disease And Peridontitis?

Gingivitis is an inflammation that is limited to the gum line. on the other hand in periodontitis there is loss of the jawbone, periodontal ligament, and root cementum.
In gingivitis, there is a surfacial problem. This means that with a good oral hygiene at home can stop the gingivitis and restore healthy gums.

But with periodontitis, it is different. Once the inflammation has caused bone loss, this damage is not reversible.

When treating periodontitis requires professional care from a dentist or periodontist to prevent more bone loss and tooth loss.

My Gums Are Receding. Does That Means I Have Periodontitis?

Receding gums are not always caused by periodontitis.

Brushing your teeth too vigorously, injures the gum line and receding gums. When it heals, the gum line withdraws further until the tooth root beneath the gum is exposed. Even if you change your oral-hygiene habits and clean your teeth less forcefully, gum recession will not be reversed. In periodontitis, the initial damage to the tooth-supporting structure may not be visible at the begining and the gums may recede only after the disease has established itself. If you have receding gums, your dentist will be able to examine the situation and explain whether periodontitis is the cause and offer you the appropriate treatment.

What Are The Reasons Of Periodontitis?

Periodontitis is always caused by the build-up of bacteria in the form of dental plaque.

A healthy mouth hosts more than 700 different species of bacteria, most of which are completely harmless and live in harmony with the owner of the mouth. But when we do not have a good oral hygenie, bacterial deposits build up next to the gums, forming a “plaque” and this creates the conditions for more dangerous bacteria to flourish. The natural defences of the body are also become insufficient as a result. If this bacterial plaque, which is soft, is not removed by brushing, minerals are deposited within it and a hard deposit on the tooth called tartar (or calculus) is formed. The presence of tartar encourages the growth of the bacterial plaque towards the roots of the teeth. This leads to a weakening of the attachment of the root to the gum and the creation of a gap – called a periodontal pocket – between tooth and gum. This pocket is an ideal place for harmful bacteria to gather and multiply, which drives disease forward as the bacteria release toxins that further trigger the body’s defence mechanisms.

  • The severity and speed with which periodontitis progresses depends on
    factors belowth
  • The number and type of bacteria present.
  • The strength of immun system.
  • The presence or absence of risk factors (e.g. smoking, diabetes).
  • Genetic factors.
  • Certain types of medication.

For example, the more active the bacteria and the weaker the immune response of the patient, the more aggressive will be the disease. And if the patient is a smoker or has diabetes, the body’s defences may be weakened which can speed up the disease process. Some drugs such as antihypertensive or vasodilating agents and immunotherapy can affect the inflammatory response to plaque and make patients more susceptible to gingivitis. But it is very important to remember that without the accumulation of bacterial plaque, periodontitis will not occur.

What Are The Consequences Of Periodontal Disease?

– Tooth loss
If the progress of periodontal inflammation is not halted, the supporting structures of the teeth – including the surrounding bone – are destroyed. The teeth eventually loosen and are lose or need to be extracted.

– Problems with eating
Periodontitis weakens the structures that hold the teeth in place. Unsteady teeth can cause problems when chewing. Affected people who can still be using old chewing habits, change to their chewing habits to functional teeth.some extent adapt and switch their chewing habits to the teeth that can. But if the damage continues – and especially if teeth are lost – people can end up able to eat only soft foods.

– Problems with speaking
The loose teeth caused by periodontitis can make it difficult to speak clearly. If the visible front teeth in the upper jaw are forced apart because of periodontitis, the gaps that arise
can cause problems in speaking (for example, sibilant sounds like “S” may not be pronounced clearly). Singers and musicians who play wind instruments can also have problems if teeth start to move apart as a result of periodontitis.

– Problems with appearance
People with periodontitis have a lot of problems with their appearance. Gums are dark red because of inflammation, the roots (which are darker than the crowns of teeth) become visible – all of which can look unattractive, and teeth look longer because of receding gums . As teeth loosen, they can move apart leaving dark gaps(black triangles) between theet. If teeth are lost as a result of periodontitis, there would be unattractive gaps.

– Bad breath
The bacteria that cause the inflammation involved in periodontitis can also cause halitosis (bad breath). The kinds of bacteria that cause periodontitis thrive in gum pockets and produce foul-smelling volatile sulphur compounds. Bad breath needs to be treated by a professional oral hygenist.

– Negative effects on general health
It is now known that untreated periodontal disease can have serious consequences for general health. Periodontitis means an increased risk of suffering diabetes, heart disease, cerebrovascular disease, and complications in pregnancy (pre-eclampsia, premature birth and low birth weight). In fact, periodontitis has been linked with more than fifty diseases and conditions, including chronic kidney disease, Alzheimer’s Disease, rheumatoid arthritis, and certain types of cancer.

What Are The Risk Factors For Periodontitis?

There are several factors that increase your chance of developing periodontitis and make the disease more likely to progress. Among the common risk factors are:

  • SMOKING
    Smokers are much ore likely to have periodontitis and the progress of the periodontitis is much more quick. After one year quiting to smoke, the patients response the treatment better.
  • GENETICS
    The way the immune system reacts to harmful bacteria can differ from person to person because of genetic differences. As a result, people do not all develop the same symptoms of periodontitis.
  • AGE
    The most cases develop after the age of 35 Because the disease usually progresses slowly, those affected do not detect the first problems until much later – sometimes when it is already too late.In old age, the consequences of periodontitis can be more serious, in terms of greater bone loss and more tooth loss.
  • DIABETES
    Periodontitis and diabetes have both effect on each other. Diabetics whose blood sugar is not under control have a higher risk of developing periodontitis. And patients with periodontitis have a higher risk of suffering diabetes.
  • DIET
    A diet which is rich in high in processed foods and unhealthy refined carbohydrates and unhealthy increases the tendency for gums to become inflamed.
  • STRESS
    Mental and emotional stress can weaken the immune system and individuals may spend less time on their daily oral hygiene at home.
How Can I Prevent From Periodontal Disease?

Inflammation of the gums is neither normal nor inevitable. Gum diseases gingivitis and periodontitis can be prevented by giving up smoking, avoiding or reducing stress, eating a healthy diet, exercising, supporting good oral hygiene and and getting regular professional check-ups (at least once a year). Choosing an appropriate instruments for whom use like toothbrush, toothpaste, mouthwash, dental floss, tongue scraper etc. Crowded, crooked, crowned teeth or dentures etc. should be cleaned with special care. Brushing teeth twice a day effectively, sufficient duration and a proper technique.

How Is Periodontitis Treated?

Successful periodontal treatment requires your full co-operation in daily oral-hygiene practices and attendance at regular follow-up appointments. With careful professional assessment and treatment, it is usually possible to completely halt the progress of periodontitis. The key to success is eliminating the bacterial plaque that triggers the disease process and establishing excellent oral-hygiene practices. There are six stages in the successful treatment of periodontitis:

  • Oral-hygiene instruction and advice The aim of the oral-hygiene phase of treatment is to reduce the number of bacteria in the mouth and thereby reduce the level of inflammation. Your dentist will first explain the causes of your periodontitis and give you clear instructions on how to keep your teeth and gums clean. You will be given advice on how to use different
    tools and techniques: for example, the most appropriate tooth-brushing technique and the correct use of interdental brushes, dental floss, and antiseptic mouthwashes.
  • Professional cleaning
    All bacterial deposits (plaque and tartar) are removed from accessible areas of the teeth, and the teeth are then polished and treated with fluoride. If necessary, the dentist will also remove all bacterial deposits and tartar from the root surfaces and gum pockets.
  • Antibiotic therapy
    In some cases, antibiotics are prescribed to deal with active or persistent gum infections that have not responded to oral-hygiene measures.
  • Reassessment
    After several weeks, your dentist or periodontist will make a full assessment of your gums to check the progress of your treatment. A special instrument called a periodontal probe is used to record the depth of any periodontal pockets and check for bleeding from the gums. If periodontal pockets greater than 3mm are still present, further treatment options may be suggested, including corrective surgical therapy.
  • Corrective surgical therapy
    Sometimes, a surgical procedure is carried out to remove plaque bacteria and deposits within periodontal pockets and on the root surfaces at the furcations (where the roots diverge). These areas are inaccessible to brushes and floss, so inflammation will stay there as long as bacteria are allowed to colonise them. Under local anaesthesia, the gum is raised and the root surfaces are cleaned to ensure that all bacteria are removed. It is sometimes possible to treat bone loss at the same time using a special regenerative treatment. At the end of the procedure, the gums are stitched back into place around the teeth. Stitches are usually removed between one and two weeks after surgery. It has also been shown that regenerative periodontal surgery – which aims to reconstruct lost bone around the teeth – improves the prognosis of the teeth, prolonging their longevity and making them maintainable
  • Aftercare – supportive periodontal therapy
    The long-term success of periodontal treatment depends on two factors: the patient’s own oral hygiene and regular care from their dentist or periodontist. After the first phase of treatment has been completed, your dentist will need to review the condition of your gums at regular intervals to check that the inflammation has been halted and has not returned. The frequency of your follow-up appointments will depend on the severity of disease and your individual risk of disease progression. Usually, follow-up visits are scheduled for every three to six months.

Regular follow-up appointments are vitally important to ensure that periodontitis does not return and cause further destruction of the gums and the bone and ligament that support the teeth. If there are signs of continuing disease, your dentist will be able to treat it at an early stage. You will also be given advice on how to change your oral-hygiene practices to tackle the inflammation.

What Is Periodontology?

Periodontology is the study of the specialized system of hard and soft tissues that support your teeth and keep them in their place in the jaw(periodontium). This apparatus, known as the periodontium, has some very important functions:

  • It securely attaches the teeth to the jaws.
  • It acts as a shock absorber during biting and chewing, and so helps to prevent
    damage to the teeth.
  • It maintains the teeth in a stable position within the jaws so that that they work
    together efficiently and comfortably during chewing.

The periodontium is made up of several individual structures that work together

The tooth socket: the bony pouch in the jawbone in which the tooth is positioned.
The cementum: a layer that covers the roots of the teeth.
The periodontal ligament: a complex arrangement of tiny fibres, between the root cementum and the tooth socket, which holds the tooth in place almost like a sling. Because the different parts of the periodontium are made from living tissues, they can adapt to changes in our mouths over time, making the tiny changes in shape and thickness that keep the position of the teeth stable. In many ways, the mouth acts as a mirror of the general condition of our bodies. Our periodontal status can often tell us more than simply what is happening locally in our gums. Although periodontitis is always triggered by the accumulation of plaque on the teeth, diseases affecting the rest of the body – known as systemic diseases – can weaken the supporting structures of the teeth.

Who Is A Periodontist?

A periodontist is dental practitioner who specialise in the prevention and treatment of diseases of the tooth supporting tissues (the periodontium). Although all dentists study on the diagnosis and treatment of mild to moderate periodontal disease, severe or complex cases are usually referred to a periodontist, who will have undertaken additional training and acquired special expertise in the area.

Within the field of periodontology, there is also a range of different specialist procedures that focus on specific types of treatment. The treatments a periodontist provides include: non-surgical periodontal therapy, regenerative periodontal therapy, soft-tissue grafting and recession coverage, pre-prosthetic surgery, and bone reconstruction with implant placement or therapy.

How do I schedule my next checkup?
Simply call our practice! Our front desk staff will be happy to help schedule your next dental checkup at your convenience. If you are a new patient, please let us know and we will provide you with all the information you need for your first dental visit.
When should I change my toothbrush?

Your toothbrush will eventually wear out, especially if you are brushing your teeth twice a day for two to three minutes each time. Your dentist recommends that adults and children change their toothbrush every three months. If you are using an electric toothbrush, be sure to read the directions because you may not need to change toothbrush heads as frequently. Patients with gum disease are encouraged to change their toothbrush every four to six weeks to keep any bacteria from spreading. After brushing, rinse your toothbrush with hot water to kill germs and keep the bristles clean. If you’ve been sick, be sure to change your toothbrush as soon as possible.

How often should I brush my teeth?

According to your dentist and the American Dental Association, you should brush your teeth at least two times a day. Brushing keeps your teeth, gums, and mouth clean and healthy by removing bacteria-causing plaque. It is also recommended that you use a soft-bristled toothbrush and toothpaste that contains fluoride when you brush your teeth. You should spend at least a minute on the top teeth and a minute on the bottom teeth, and remember to brush your tongue; it will help keep your breath smelling fresh!

What is gum disease?

Also known as periodontal disease, gum disease is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Other causes of periodontal disease include tobacco use, teeth grinding, some medications, and genetics. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease.

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